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• W129306670 abstract "This paper describes the application of a letter writing exercise as a motivational technique for group counseling in contemporary crisis unit settings. The rationale for the use of this exercise is offered; then the implementation of the letter writing exercise is described and illustrated with a case example. Letter writing can be effective tool in window of opportunity settings (such as crisis units) for increasing client motivation to adopt positive behavioral changes and to seek appropriate aftercare services. Guidelines and implications for clinical practice with clients with multiple, chronic problems are discussed. ********** The use of personal letters to facilitate individual or interpersonal change in counseling has a long and varied history (e.g., Kramish, 1956; Sacks, 1974). Letter writing has been used with individuals, couples, families, and groups to address a range of issues including conflicted communication between family members, stressful life transitions such as loss, the modification of personal narratives or identities, coping with trauma, and the redefinition of problems or goals. While the technique of letter writing has been used in many settings and populations for a variety of purposes (see Riordan, 1996, for a review), there has been little discussion of the utility of letter writing in crisis intervention settings. While care received in these settings is likely to be brief and intensive, crisis intervention presents opportunities for brief interventions to enhance clients' motivation to consider making significant changes in their behavior or interpersonal relationships. This article describes the potential utility of a letter writing exercise for promoting behavioral changes in the context of a brief motivational intervention for clients presenting with chronic problems in crisis intervention settings. A review of available literature reveals many uses for the technique of letter writing in conjunction with traditional counseling interventions. For example, issues of grief, mourning, and forgiveness have been addressed via letter writing in which clients use this exercise to express feelings of grief, perform leave-taking rituals, communicate with a lost person or object, or develop empathy with a transgressor (Conley, 1984; Nau, 1997; Van der Hart & Goossens, 1987; Worthington et al., 2000). In addition, letter writing has played a central role in counseling interventions as a strategy to externalize problem behaviors, overcome defense mechanisms, promote desensitization to past trauma, or engage individuals and families in the counseling process (Lindahl, 1988; Lown & Britton, 1991; Rasmussen & Tomm, 1992; Zimmerman & Shepherd, 1993). Letter writing has also been used as a component of couples or family counseling to open lines of communication blocked by challenging transitions, to transcend relationship conflict or to eliminate interference or distortion in communication patterns (e.g., Riordan & Soet, 2000; Sloman & Pipitone, 1991). Finally, letter writing has been used in narrative forms of counseling to foster a proactive stance in clients with respect to the authorship of their life stories and their exploration of possible future selves (France, Cadieax, & Allen, 1995; Goldberg, 2000; Madigan & Grieves, 1997; White & Epston, 1990). LETTER WRITING AS A BRIEF MOTIVATIONAL INTERVENTION In addition to these purposes, letter writing may be implemented in a way that is compatible with the principles of motivational interviewing such that the exercise itself becomes a brief motivational intervention. Motivational interviewing and motivational enhancement counseling strategies are gaining popularity as alternative or adjunctive approaches to more traditional counseling approaches designed to produce behavior change among clients (Ryder, 1999; Walitzer, Dermen, & Connors, 1999; Yahne & Miller, 1999). …" @default.
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• W129306670 date "2001-10-01" @default.
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• W129306670 title "Letter Writing as a Tool to Increase Client Motivation to Change: Application to an Inpatient Crisis Unit" @default.
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